- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... as the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional service… more
- USAA (Tampa, FL)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager , you will be responsible for managing moderately complex ... and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes under the Homeowner/Renter Policy Contract/Umbrella. + Proactively… more
- Primo Brands (Tampa, FL)
- …Primo Brands, please apply via MyADP.** Compensation $70,000-$85,000 Responsibilities ** Claims Management:** * Ensure proper injury reporting procedures are ... reserves; recommend adjustments as necessary. * Ensure adjusters are monitoring claims regularly, communicating with medical providers, and updating reserves as… more
- USAA (Tampa, FL)
- …Third-Party Relationship Manager to support our vendor relationships within Bank Claims Operations. This is an individual contributor position and NOT a people ... manager . Enables USAA's third-party risk management/procurement strategies and program...Experience working in Reg E/Reg Z (Fraud and Non-Fraud) Claims Operations. + Experience collaborating in a fast-paced operational… more
- CHS (Clearwater, FL)
- …related to claims and calls and provides feedback to their Manager . + Maintains up-to-date working knowledge on regulatory requirements associated with billing ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...with accuracy, and work with the MPS Call Center Manager /Supervisor/Team Lead and analyze the data for training purposes.… more
- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims \. Oversees analysis of complex claim inquiries and reimbursement issues using… more
- ABM Industries (Clearwater, FL)
- …and coordinates bus evacuation activities as appropriate * Immediately reports any incidents or claims to Operations Manager or Shift Lead * Refuel and maintain ... shuttle equipment and fuel use logs * Maintain a clean work environment, disinfecting shuttle after each use * Performs pre-inspection and post-inspection activities to ensure proper operating conditions, adherence to prescribed Department of Transportation… more
- Walgreens (Clearwater, FL)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are in-place.… more
- Walgreens (Largo, FL)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
- Sedgwick (Tampa, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** **Looking for** ... **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** The Business Manager Assistant will be responsible for customer forms creation, client financial tools, trade spend reconciliation, order and ... claims alerts, data submissions and support. All necessary job...All necessary job functions required to support the Business Manager and client. This individual must demonstrate a strong… more
- Sedgwick (Tampa, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Financial Project Manager - Workforce Absence **PRIMARY PURPOSE** **:** The Financial Project ... Manager is responsible for completing the implementation of check...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Molina Healthcare (St. Petersburg, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- Republic Finance, LLC (Tampa, FL)
- …in the financial services industry for you, apply to be an Assistant Branch Manager today! ABOUT REPUBLIC FINANCE We have helped our customers meet their personal ... A DAY IN THE LIFE OF AN ASSISTANT BRANCH MANAGER (ABM) We give you all of the tools...making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you assist the… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager Senior** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- CDM Smith (Tampa, FL)
- …Unit:** NAU **Job Description:** We are seeking a highly skilled and experienced Finance Manager to join our team in our transportation division, to lead and manage ... mission by: * Developing the division's budget in conjunction with the division manager . * Managing the division's financial issues. * Complying with budget and… more
- Medtronic (Tampa, FL)
- …hiring a passionate, fast-paced, and strategic **Sr. Group Market Development Manager ** to manage the healthcare professional (HCP) Market Development team within ... reimbursement, clinical, and sales teams. The Sr. Group Market Development Manager will focus on increasing healthcare professional awareness, belief, and adoption,… more
- HUB International (Tampa, FL)
- …+ Strong community support and involvement through HUB Gives **SUMMARY:** The Account Manager manages a book of insurance business, while acting with a high degree ... procedures. **ESSENTIAL DUTIES AND RESPONSIBILITIES:** + Makes major decisions independent of manager approval on books of insurance business for which the incumbent… more
- Wolters Kluwer (Tampa, FL)
- …+ 1+ years of prior supervisory experience, preferably in a legal billing or claims environment. + 5+ years' experience in the legal industry with 3+ years as ... audit and adjustment decisions. + Understanding of legal terminology and claims legal situations, multijurisdictional exposure preferred. + Leadership skills with an… more
- Centene Corporation (Tampa, FL)
- …and educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting, utilization management, or clinical operations. Project management… more